NIH INTERACT Evaluation. Welcome and Thank You to Project Participants

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1 NIH INTERACT Evaluation Welcome and Thank You to Project Participants

2 NIH INTERACT Evaluation Webinar Tips Please do not put your phone on hold We encourage you to ask questions Preferred method: Type in your questions as they come up during the webinar Click on the hand icon at the end of the webinar to ask a question verbally, and we will un-mute your line

3 NIH INTERACT Evaluation Webinar Tips These webinars are intended for the 78 facilities randomized to the immediate intervention group Champions, co-champions, facility leadership and staff, medical care providers, and corporate leadership involved in project implementation Facilities randomized to the delayed intervention group will receive training in early 2014 they should not attend these webinars or be given usernames and passwords to the NIH section of the INTERACT website Thank you for your consideration

4 The INTERACT Program Medication Reconciliation

5 Objectives Review the definition and goals of the Medication Reconciliation Process Review why it matters to you and your organization Review how to conduct an accurate Medication Reconciliation

6 What is Medication Reconciliation? Identifying accurate list Comparison Recognizing discrepancies Making changes if necessary Updating with order changes Communication

7 Why does this matter? Patients admitted to the hospital receive new medications Poor access to complete medication list Upon discharge needed medications may be omitted Medication discrepancies occur in nearly 1/3 of patients admitted to the hospital There is no universally accepted optimal method of reconciling medications at time of transfer

8

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10 Mrs. Peabody, 92 year old female Hospitalized with urosepsis PMH includes HTN, AFIB, CHF, Dementia Medications upon discharge are the following Cipro 500 mg po BID Coumadin 2 mg po daily Lisinopril 10 mg po Lasix 20 mg po daily Aricept 10 mg po BID Metoprolol 25 mg po BID

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12 Cipro 500 mg po BID Coumadin 2 mg po BID Lisinopril 10 mg po BID Lasix 20 mg po daily Medication Recommended by Hospital Requiring Clarification Upon Discharge Aricept 10 mg po BID Metoprolol 25 mg po BID

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14 Clarification needed Need Stop Date Need hold parameters for BP Need date for PT/INR Next BMP/ was taking BID at home Clarify frequency/ qhs at home Need hold parameters for BP and hr. Completed before call to MD/NP/PA Reminder for labs, hold parameters, stop dates

15 Aspirin 81 mg every day Metoprolol 25 mg twice daily Lasix 20 mg twice daily Multivitamin once daily Aricept 10 mg once daily Calcium one tablet daily 8 am 8am 8 pm 8 am 8 pm 8am bedtime 8am

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17 Aspirin 81 mg every day Gingko biloba daily MVI daily Review current list with patient/resident or caregiver List medications they were taking before hospitalization that they are currently not taking Calcium daily

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19 on coumadin,? resume? Resume? Resume? Resume Use for your questions for MD/NP/PA Family concerns for MD/NP/PA

20

21 Resolve any questions Labs that are needed For 5 days PT/ INR in am Hold for SBP < 100 Continue QD/ BMP in 2 days Change to Aricept 10 mg QHS Hold for SBP <100, HR < 50 Parameters for medications Review of differences between home and hospital medications Stop dates of antibiotic

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23 Resolve any questions Do not continue aspirin Do not continue gingko Continue MVI I tab po daily Continue Calcium 600/400 BID Provide documentation that you reviewed with MD/NP/PA Decrease risk for facility and patient/resident

24 In Summary Medication Reconciliation is an important task for resident safety during any transition of care We need to gather all of the information Goal is for accurate, concise list moving forward Communication with all care providers is extremely important Medication Reconciliation Worksheet

25 Collecting Data Telephone Follow up Monthly Interact Team Member will contact you (May) Hospitalization Rate Tracking Tool Submit on first week of June (April data) Change in Condition Log Begin June 1st QI Review Tool Ongoing completion, hold on to these (April)

26 INTERACT NIH Project Webinar 10 Tuesday, May 21, 1 PM EST Will focus on the INTERACT Advance Care Planning Communication Guide Please complete Medline University Module 13 before next week s webinar

27 Questions? Comments?

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